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Skull Base Metastasis
Philip R. Chapman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Metastatic disease affecting osseous skull base &/or adjacent soft tissue structures, including dura

              IMAGING

              • General Features

                • Imaging Recommendations

                  • CT Findings

                    • MR Findings

                      • Nuclear Medicine Findings

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Ng S et al: Current status and treatment modalities in metastases to the pituitary: a systematic review. J Neurooncol. 146(2):219-27, 2020
                                            2. Patel KR et al: Extended Survival After Surgical Resection for Pituitary Metastases: Clinical Features, Management, and Outcomes of Metastatic Disease to the Sella. Oncologist. ePub, 2019
                                            3. Harrison RA et al: Intracranial dural, calvarial, and skull base metastases. Handb Clin Neurol. 149:205-25, 2018
                                            4. Mendez JS et al: Metastatic complications of cancer involving the central and peripheral nervous systems. Neurol Clin. 36(3):579-98, 2018
                                            5. Bag AK et al: Neuroimaging: intrinsic lesions of the central skull base region. Semin Ultrasound CT MR. 34(5):412-35, 2013
                                            6. Chamoun RB et al: Management of skull base metastases. Neurosurg Clin N Am. 22(1):61-6, vi-ii, 2011
                                            7. Mitsuya K et al: Metastatic skull tumors: MRI features and a new conventional classification. J Neurooncol. 104(1):239-45, 2011
                                            8. Nayak L et al: Intracranial dural metastases. Cancer. 115(9):1947-53, 2009
                                            9. Pallini R et al: Clivus metastases: report of seven patients and literature review. Acta Neurochir (Wien). 151(4):291-6; discussion 296, 2009
                                            10. Nemeth AJ et al: Improved detection of skull metastasis with diffusion-weighted MR imaging. AJNR Am J Neuroradiol. 28(6):1088-92, 2007
                                            11. Quattrocchi CC et al: Bone metastases in breast cancer: higher prevalence of osteosclerotic lesions. Radiol Med. 112(7):1049-59, 2007
                                            12. Laigle-Donadey F et al: Skull-base metastases. J Neurooncol. 75(1):63-9, 2005
                                            13. Maroldi R et al: Metastatic disease of the brain: extra-axial metastases (skull, dura, leptomeningeal) and tumour spread. Eur Radiol. 15(3):617-26, 2005
                                            14. Stark AM et al: Skull metastases: clinical features, differential diagnosis, and review of the literature. Surg Neurol. 60(3):219-25; discussion 225-6, 2003
                                            15. Gloria-Cruz TI et al: Metastases to temporal bones from primary nonsystemic malignant neoplasms. Arch Otolaryngol Head Neck Surg. 126(2):209-14, 2000
                                            16. Sze G et al: MR imaging of the cranial meninges with emphasis on contrast enhancement and meningeal carcinomatosis. AJR Am J Roentgenol. 153(5):1039-49, 1989
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Metastatic disease affecting osseous skull base &/or adjacent soft tissue structures, including dura

                                                        IMAGING

                                                        • General Features

                                                          • Imaging Recommendations

                                                            • CT Findings

                                                              • MR Findings

                                                                • Nuclear Medicine Findings

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Ng S et al: Current status and treatment modalities in metastases to the pituitary: a systematic review. J Neurooncol. 146(2):219-27, 2020
                                                                                      2. Patel KR et al: Extended Survival After Surgical Resection for Pituitary Metastases: Clinical Features, Management, and Outcomes of Metastatic Disease to the Sella. Oncologist. ePub, 2019
                                                                                      3. Harrison RA et al: Intracranial dural, calvarial, and skull base metastases. Handb Clin Neurol. 149:205-25, 2018
                                                                                      4. Mendez JS et al: Metastatic complications of cancer involving the central and peripheral nervous systems. Neurol Clin. 36(3):579-98, 2018
                                                                                      5. Bag AK et al: Neuroimaging: intrinsic lesions of the central skull base region. Semin Ultrasound CT MR. 34(5):412-35, 2013
                                                                                      6. Chamoun RB et al: Management of skull base metastases. Neurosurg Clin N Am. 22(1):61-6, vi-ii, 2011
                                                                                      7. Mitsuya K et al: Metastatic skull tumors: MRI features and a new conventional classification. J Neurooncol. 104(1):239-45, 2011
                                                                                      8. Nayak L et al: Intracranial dural metastases. Cancer. 115(9):1947-53, 2009
                                                                                      9. Pallini R et al: Clivus metastases: report of seven patients and literature review. Acta Neurochir (Wien). 151(4):291-6; discussion 296, 2009
                                                                                      10. Nemeth AJ et al: Improved detection of skull metastasis with diffusion-weighted MR imaging. AJNR Am J Neuroradiol. 28(6):1088-92, 2007
                                                                                      11. Quattrocchi CC et al: Bone metastases in breast cancer: higher prevalence of osteosclerotic lesions. Radiol Med. 112(7):1049-59, 2007
                                                                                      12. Laigle-Donadey F et al: Skull-base metastases. J Neurooncol. 75(1):63-9, 2005
                                                                                      13. Maroldi R et al: Metastatic disease of the brain: extra-axial metastases (skull, dura, leptomeningeal) and tumour spread. Eur Radiol. 15(3):617-26, 2005
                                                                                      14. Stark AM et al: Skull metastases: clinical features, differential diagnosis, and review of the literature. Surg Neurol. 60(3):219-25; discussion 225-6, 2003
                                                                                      15. Gloria-Cruz TI et al: Metastases to temporal bones from primary nonsystemic malignant neoplasms. Arch Otolaryngol Head Neck Surg. 126(2):209-14, 2000
                                                                                      16. Sze G et al: MR imaging of the cranial meninges with emphasis on contrast enhancement and meningeal carcinomatosis. AJR Am J Roentgenol. 153(5):1039-49, 1989